Clinical Documentation Specialist

4 days ago

Thrissur, Kerala, India beBeeMedical Full time ₹ 9,00,000 - ₹ 12,00,000
Medical Scribe Manager Job Opportunity

The Medical Scribe Manager position involves reviewing physician dictation and transcribing it into clinical notes in electronic medical record/billing systems. Ensuring medical record compliance is also a key responsibility, including updating patient history, physical exam, and other relevant health information in the patient's chart.

  • Transcription of physician dictation to clinical notes in EMR/Billing systems
  • Compilation of medical record documentation/charts for physicians
  • Maintenance of medical record compliance through self-documentation attestation
  • Updating patient history, physical exam, and pertinent health information in the patient's chart
  • Sending documentation to physicians for review and approval via authentication of detailed data entry and facility-specific procedures
  • Monitoring duration of basic lab results and screening procedures
  • Compliance with hospital and medical facility policies, including HIPAA and Joint Commission
  • Performance of additional clerical duties and tasks to enhance provider productivity and clinic workflow as assigned
  • Coding of diagnoses and procedures using ICD and CPT codes
  • Evaluation of code accuracy and sequencing in accordance with government and insurance regulations
Requirements:
  • 3-5 years of experience as a Live Medical Scriber
  • Proficiency in administrative writing skills
  • Strong reporting skills
  • Effective organizational skills
  • Excellent record-keeping abilities
  • Microsoft Office proficiency
  • Professionalism, confidentiality, and organization
  • High typing speed
  • Excellent oral and written communication skills
Qualifications and Benefits:

The ideal candidate possesses strong knowledge of anatomy, physiology, and medical terminology, familiarity with ICD-X codes and CPT Procedures, and skill in operating various medical record software and hardware, word-processing, and database software programs.

Other Responsibilities:

This role requires a high level of professionalism, confidentiality, and organization. The ability to work efficiently in a fast-paced environment and adapt to changing priorities is essential.

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